East African Journal of Public Health
East African Public Health Association
Vol. 5, No. 2, 2008, pp. 111-116
Bioline Code: lp08021
Full paper language: English
Document type: Research Article
Document available free of charge
East African Journal of Public Health, Vol. 5, No. 2, 2008, pp. 111-116
© Copyright 2008 - East African Journal of Public Heath
Evaluation Of Cervical Cancer Screening Program At A Rural Community Of South Africa|
Hoque, Monjurul; Hoque, Ehsanul & Kader, Suriya Bibi
Cervical cancer is a leading cause of deaths among women worldwide. But the condition is preventable through regular
screening of women those are 'at risk' for abnormal changes in the cervix and treating them who have positive results. Although
screening facilities are available in South Africa, the incidence and mortality from cervical cancer remains very high and many
women present health facilities with late stage diseases. Purpose of the study is to determine the baseline information on knowledge
and practices on risk factors for cervical cancer and Pap smear and to design an intervention to improve Pap smear uptake.
A cross-sectional population based descriptive study was undertaken at a rural community of South Africa targeting women
30 years and over. The assessment was performed by means of a questionnaire survey. Outcome measures were percentage of women
with the knowledge on risk factors for cervical cancer and use of Pap smear test and had undertaken Pap smear test. Binary logistic
regression analysis was carried out to identify possible predictors of Pap smear test undertaken. A total of 611 women (random
samples) were recruited from the selected households.
The mean age of the sample was 43 years and 54% of them had no education. Only 6% knew all and 65% knew any one of
the risk factors of cervical cancer whereas less than half (49%) of them knew that Pap smear is used for prevention of cervical cancer.
Only 43% respondents received information on Pap smear from health care workers. Among all the respondents only 18% (95% CI,
15-21) had ever done Pap smear test.
This study showed low uptake of Pap smear test and low level of knowledge on prevention of cervical cancer and risk
factors thus warrants urgent extensive health education program for this rural communities.
Cervical cancer, Pap smear test, knowledge, practice, programme coverage.